Individual
SAMA MOHSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11355 RED CEDAR LN, SAN DIEGO, CA 92131-1927
(669) 263-7156
Mailing address
11355 RED CEDAR LN, SAN DIEGO, CA 92131-1927
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
88208
CA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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